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Retired NBME 21 Answers

nbme21/Block 3/Question#28 (reveal difficulty score)
A 1-year-old girl is admitted to the hospital ...
Disruption of the secondary structure of collagen molecules 🔍 / 📺 / 🌳 / 📖
tags: biochem

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 +16  upvote downvote
submitted by wasabilateral(47)
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I thnik it has hiesontmg ot od twih legciyn d(eu to tis malls eszi it anc tif in yman plaesc hrwee other nmoia dscia can nto nad nhcee ti srdpovei utrcsla“tru epsmnos”ctca ot het nclegol,a ..ei tup a knki ni eth hlapa xe)hil. fI egiylnc si dmacspeil by ognmteish ,eesl I t’odn hiknt lernlgcopo-a anc omfr tis ccerort yaecosnrd etts.urruc

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jotajota94  Tu!re loa,s ilnygce is /13 fo lnolgace alfa a,chsin so it kasme esnes ttah bsitsuittuno hiwt alnenai (ichhw is hucm )ibrgeg dlwuo edal ot idtorupsin in teh pahla ilhex mira.ontof +2
jotajota94  Te!ur os,al ligyenc si 3/1 of aeglocnl alfa sh,cnai so ti seakm sesne taht nttbsisuiuot hwit lnaaeni (hicwh is humc eb)rigg uodlw dael to unoirtpsdi ni teh alhpa hxeli .tmroiofna +
thepacksurvives  cGiylen is lsmal and ey,nbd hwich wasoll it ot mofr hte filisbr fro het pltier ixhel +
brasel  Aslo ni galeren (AF 8102 pg 5)0 OI si ofrm pboerlms rgifomn het rieptl lxhie ihwhc is nocrdaesy r.rcetuuts nyurFeoalt,t ythe geva su gmtihsone to nsoaer wtih in eth quneoits t;gAG&la()yl- +3
amy  nCa esooenm lehp me sdnaedtunr why A si o?cteircrn 0FA202 gape 5:0 rlpTie lxihe of 3 cnllogea a ihcasn is frmoed fmro agcrnloleop avi hgodyrne nda lddfuieis d.nbo sI ihts ervy ailmris ot htwa A si b.c?reign Adi desareDec hnn-oyderbgod nirmftaoo ewebtne lacoleng llsoumeec. +
umpalumpa  ehT laxtoanipne eignv by aabwleraailts lcudo rwko if the uosniqte dowlu ysa ay-Al-&l;gtG tiuno.mta Hee,vrwo teh siqutnoe saestt ahtt erteh is an y;glA-l&Ga-t .mtniatuo +


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 +13  upvote downvote
submitted by cellgamesgojan(43)
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I efd,griu -nl-cgeyiXY is nicteahylcl dnredeisoc a y“prrima omina daci scutruret fo a rniope”t insec het iniifonted fo a riramyP cstrtueur fo a eiptorn si “a ianelr hncai of amino ais.d”c fI you sems itwh eht imyraPr ursrcteut, as in the tensuqoi t,ems oyu ctonan fomr eht Sdorancey tercusrtu fo hte ie,potrn hicwh is temenirdde yb the don-bigdynhrgoen hchwi ccsoru ntbweee het petedip bekabcno, denndepetni of the R psgro.u I peoh tish daem ess.ne

mrFo wiipdekia: eo“cSydnra suretcurt is armlfylo eenddfi yb hte atterpn fo dynroehg sbdon entbewe eth noaim gdoernyh dan rxclyoab gxyeon mtsao ni hte epetipd acnoebkb.” hesapmsi( me)in

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From Molecular Biology of the Cell:

Biologists distinguish four levels of organization in the structure of a protein. The amino acid sequence is known as the primary structure of the protein. Stretches of polypeptide chain that form α helices and β sheets constitute the protein’s secondary structure. The full three-dimensional organization of a polypeptide chain is sometimes referred to as the protein’s tertiary structure, and if a particular protein molecule is formed as a complex of more than one polypeptide chain, the complete structure is designated as the quaternary structure.

https://www.ncbi.nlm.nih.gov/books/NBK26830/#A406

+5/- drdoom(1206)

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 +4  upvote downvote
submitted by usmle11a(102)
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ok ugys adn i uoqet omfr losuhw0:ert2tt.lpbfpg.aetespo/o/soc/cecssteiar/modtwre-4ii/s1wimhnet

%90" haev na iiatidelebfn cnietge nimoautt CLO 11A dan OLC 1A2
c asesu anabomlr ncaoglle nrioinclks-gs avi a gcleyni tostbiuuistn in het rcongleopla emcllueo "

hwhci emsan ttha OI ash a cyeilgn tituiobntsus nda efherrto tis elbnau ot mofr a nasdrcoey cesuturu.tr

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 +4  upvote downvote
submitted by hungrybox(1277)
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uDe to cysenlg'i sllam ei,sz ti eecsrat "k"nsik in hte inaom cida enqeceu.s eshTe snkki ear dedeen ot ecorryltc rofm eth soyndacre turru.etsc

tOher esw:nsar

  • eakw"eend ectrnainito ewnebet aclleogn nda oalnygoetcp"r - anoglcle + roaycenpglot = alr.ieclgat heT nuieqost tmse stoimenn many sedctef in ENbO te(yp I a)colengl utb no toennim of esctefd in gOeWclaTrla y(tep II agnelco)l
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 +1  upvote downvote
submitted by basic_pathology(25)
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Gy-lYX- is bconekba ofr glneloca haapl ina.hc 3 engcloal alpha inchas pisalr to fmor irtepl x.elhi eniGlyc ahs on R ,ogrup gnalwiol for lexifbyltii and tmfnrooai of lrtipe .hilex oN cglyine venspret isth uionsntcou ri,sgnlaip einerpntgv hte rmtiafnoo fo eolcgaln aocrsnyed trtecusru.

eacllR tath -ahchsileplae and etshbsetea- rea salemepx of rdcaoseny sr.eurtscut hTis can eb ohhtgtu fo a tmoafisnteina fo het phala xhli.e

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 +0  upvote downvote
submitted by an_improved_me(91)
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torAeNh ywa to get ta it is iav inlano:mieit

A. ondrgehy donibng wndtoul llryea hgcaen cisne ehetnri lianaen nor cglnyie rea .r pBoal lGy g;&t Ala 'nhltdosu agnche how poienrl is ifddeiom I( aenm ti OCDUL, if rhete wsa a sterci cinenhrad or ,segotmnih tub not a terga n)Dr s.wea ghinont ot indactei hatt cnlalgoe eaddirognet is etlrdea in osnepres ot na AA ts.sbntitiouu A,los ni het xeotnct fo OI hwic(h is het rnipteesng )mlcnop,ati we aerdaly knwo ahtt het eobrmlp ndots'e have ynitaghn ot od with tion,daegerd moer hwti eht hgcaen in tresfru.tunEcoutin c/ nytesoHl t'odn .kwno

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submitted by drdoom(1206)
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eHser’ oen ywa to opelsiefat--monercis acerdsee“d rdhygnoebo-dn am:”tfonoir ’Im nto a big fan of hsit lnie of ero,ginans btu lceaytinlch lnieaan as a esdi pugro sah eorm hregds*oyn fro otpnteial ghornyed bnnogid atnh lnyigec:

einaal:n 3HC—
nicelyg: —H

o,S i,“claylhncte” anainel wluod rteimp rome bgo-hdnoydern ifarnoo,tm chhwi mhitg lowal yuo ot lmaeineit htat h.oicec

Ttah ds,ai ti esems lstmao siboilmsep to leur out uiotthw( ryve nccathlie eglwonked ro soem ddrpvioe ratnpliemeex adta) atht teh lyilthgs raglre lanaeni sdeo ont rmpaii endyrgoh innodbg enewteb eolngacl melosulce aiv rtscie (aa)pistl efitcrene.ner nI pleirsm se,rmt nscie naaleni si grla,er uyo ulowd thkni htat it tums hmeosow iernfteer whti the ro-ngiobhddngnye that sccuro iwth eht twdyie-lp eylcngi.

---
Syrctitl* npgsika,e ’ist not teh emnrbu fo rnhdgseyo btu laos het nhrstget fo hte iolped atth fsieltcitaa ygrnoehd bi:gdnon a rynoehgd dnbou ot a lrsngyto raetclvnteoeeig elucmeol elki ruflnoie lilw apap“”re eomr septvioi an,d tsu,h h-nognryodedb remo ryostgnl thiw a eraybn xygnoe (mocaperd ihtw a rneghoyd ecdnnotce to ,abonrc rof ael.)pemx

ertFurh e:arngdi

  1. epelcpg.tsuuhbwdumdct./p.dihnhhd.ohleswlwrut/mi//e/q:
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hungrybox  eeippAcrat teh ftrfeo ubt hits si fra oot goln ot eb es.uflu +30
drachenx  nrhyubxgo is a angirkef aerth +
drdoom  xrn@eachd ah,ah a,hn gcnoim kbca ot shit i zaieler i asw lopbryba eevgen-rkgio llo +1
blueberrymuffinbabey  'ntsi het ndhrogey nbnigod dndnteeep no het taldyxhderoy niprloe nad eilsyn? so tath twnuol'd allery be teh suies here eisnc oehst 'taern hte asa gnbei dre?tale +
drdoom  @rbuberlye cdoAgirnc ot r’lbAest oCBM ees( aestgnTn ta hgri),t syoyxyhenildr nda yypdeholonrxir rubottnice hdygoern ndbos that ormf ebnteew het hiasnc ha(,rnn”citei“ as doppoes ot c;iarnhti-an hte ,sinhca fo ,rcesuo are satperea etdypp;poelsi atht s,i taseaepr oelngalc sopetrni; dan tnretoscinai tneeewb tsaarepe nhcsai spta[erae pptiposdeyle] si hawt we call qetan“yrura tuu”rs;rect ese getTnna vobae.) dAn ni shti sec,a as you potni to,u teh stem iecsbrsde a GA&al-gtyl; unsib.oitstut Ttha eemss ot mean owt hsgtn:i )1( het reteh tepaersa onlealcg ilptepdyespo lliw ont kpa“c ][as i”tgthly to fmor eht irplte ixehl ay=unareq(rt ucsurr)tet we all kwno nda velo and 2)( prinloe nsirg llwi fail ot elray iuetq sa lguyns, nmpigmsoroci teh lhcalie orfactnoinmo atth fesdein an laaph nhiac dynoaercs(= t;tucsrreu hte sapesh ahtt mfor hitwin a ngelis dpyilotpp).ee +
tadki38097  also uoy ncat' H ndob wiht a,rcobn ts'i tno lapro hnoueg +
amy  0A220F 05P etts:a rinaoofmt fo nwchap(ecoiolrhlg si het rtlpei xeihl ttrrue)cus iva yrndohge nda uiddfles.i So A si ocrrctnie cb rhtee are on lonegcla llmoseeuc eyt dn(2 ueurtcsrt phnepas at nleagorpolc lleve) +
drdoom  @mya pleirt ihelx si a rtaaqryune uresucrtt iscne( elpitr ielhx is a hepas atht msfor EEWNBET asepetar or ”utdl“a glngcclalae-porn/leoo e.)edtspip ary,mrPi sayoncder nad rrtyatie ussrrettcu ear rdcisnsptioe fo a glnsie dtpeoeip.ply ecOn yuo veah 2 or omre tldepepyosip innetitrcag ihtw ehac eorht g.e.,( bonleimHog euem)ollc oyu haev raeurayqnt ctrts.urue +

From Molecular Biology of the Cell:

Hydroxylysines and hydroxyprolines are infrequently found in other animal proteins, although hydroxyproline is abundant in some proteins in the plant cell wall. In collagen, the hydroxyl groups of these amino acids are thought to form interchain hydrogen bonds that help stabilize the triple-stranded helix. Conditions that prevent proline hydroxylation, such as a deficiency of ascorbic acid (vitamin C), have serious consequences. (Emphasis mine)

https://www.ncbi.nlm.nih.gov/books/NBK26810/#A3555

+1/- drdoom(1206)

From Molecular Biology of the Cell:

The primary feature of a typical collagen molecule is its long, stiff, triple-stranded helical structure, in which three collagen polypeptide chains, called α chains, are wound around one another in a ropelike superhelix (Figure 19-43). Collagens are extremely rich in proline and glycine, both of which are important in the formation of the triple-stranded helix. Proline, because of its ring structure, stabilizes the helical conformation in each α chain, while glycine is regularly spaced at every third residue throughout the central region of the α chain. Being the smallest amino acid (having only a hydrogen atom as a side chain), glycine allows the three helical α chains to pack tightly together to form the final collagen superhelix (see Figure 19-43).

https://www.ncbi.nlm.nih.gov/books/NBK26810/#_A3551_

+/- drdoom(1206)

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submitted by nmb29(0)
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I tihmg eb gienokivhnrt it ub,t H bndo nmrioatof of s'aa meksa eht yocardnse cruetutrs fo teh tronpie (ocleanlg ni this sc.a)e eTh lyG ot Aal iuitubnsstto sode lersut ni elss H dbno rfmitno,ao utb fo nilivddaui 'saa tno wteeneb cngoeall secoemllu (hatt mghti eb orem orf uqaaeyrntr tuctesrru)

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lpp06  I ktihn eth yke si ni the srnwea sgpah,rni teh awrnse innmgteion o-bHdns says ir"spnuitDo of n-oHsbd enetwbe lenoclag "hltls oucegolumeAh neallcog does grudone gn-nibHod ot srouppt eth elpirt ilxe,h itsh is oend iwhitn hte saem clloneag ieem. Lnouniglckl fditeefnr olelgnac mlloceuse ucsroc vai the ylnsei - rynyyesxdhlio nlkis ndeo in eth CME +1
kevin  tish is eht oen cetmnom taht yalflni pdelhe em teuadsdrnn hwy that aws rrintcec.o hnkta you +


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submitted by j123(16)
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airrPmy ruestrutc = inmoa dcia cecornySseeua ndeq rcursetut = uutsrecrt ofdrem iwht a geisln moian diac euceneqs (btea adptele hest,e laaph xehil, ttyarricT)ee ctsreuutr = uitleplm ydcsornea usucrettsr ieancgtnirt rttheoeg pim(tllue tbae ldeepat ethsse tsacked on top fo ahce hrtoe, reyatu)rnceart Q ecurtutrs = priotne srructteu medofr from loidfng of all eratriyt etsursuctr to aekm biingdn t,ssie te.c

cnSie eht ineaanl saw ptu in pcael of het ic,eyGnl hte ryrampi rutrsetcu wsa elaunb ot fmro an alpha ilxeh nsiec lahpa eixhl tucresurts eend a tuiaprlcra nceueqes y(lg - x- y) in roedr ot ofrm ngoehyrd snodb to epke teh xlihe tbs.ela

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 -1  upvote downvote
submitted by unknown001(9)
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tawh is llcagoen ? a rndoasyce noipter rutctes.ru

henw oyu reemvo leicyn,g teh otsm dnnuaabt amion cdia , mfro het rrspoceur ecloulem wlil you etg a oerrpp onyresacd tetusrruc ? NO

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unknown001  oiegnr shit +
drdoom  cna you toblaeae?r saht'w grnow htwi uory cn?otemm +


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 -4  upvote downvote
submitted by lilmonkey(63)
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yGl si r,pola Aelnnai is nornolap dna yhopbd.rohic nsseeMsi tonianecensrvvo muoa.ntit ehesT AsA avhe rifdenetf lhecmcai eeporsptir ichhw lade to sdtpuidre itronpe ifdglon sadren(ocy trs)ecutur. rimaSil to lGu - Val ttubiniutsso in ikScel Clle i.eseaDs

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